Your NHS Hearing Aid with Thin Tube
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1 Norfolk and Norwich University Hospitals NHS Foundation Trust Your NHS Hearing Aid with Thin Tube Audiology Services 8426
2 Contents Inserting the Thin Tube 3 Changing the batteries 4 New batteries 5 Maintenance 6 Changing your tubing 8 Troubleshooting 10 Hearing aid repair clinics 11 Other services 12 Useful contacts 16 Communication 20 Audiology Department Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY Tel: Fax: nnuh.nhs.uk/dept/audiology audioadmin@nnuh.nhs.uk 2
3 Inserting the Thin Tube Place the hearing aid over the top of your ear. Hold the bottom of the dome with your finger and thumb and insert into your ear canal. Ensure the tail is sitting in the notch above your earlobe, if it isn t, push the dome further into your ear canal. The tail can now be fitted so it follows the shape of the bowl of your ear. The tubing should now be lying flush at the front of the ear. 3
4 Changing the battery Remove your old battery (these can be recycled). When inserted, the battery should be smooth side up. If the battery is inserted the wrong way up, the hearing aid will not work and may become damaged. The battery should last approximately 7-10 days Please store and dispose of batteries carefully. Keep out of the reach of children. If swallowed, seek medical attention immediately. Batteries can cause severe internal burns. 4
5 New batteries Batteries are issued annually and are available via: Norfolk Deaf Association (NDA): Mobile clinics Community clinics Timetables are available from NDA Norfolk & Norwich University Hospital (NNUH): From Audiology Reception From our repair clinics (page 11) By post (send your battery card with request) By telephone (Call ) By Batteries can only be obtained with battery card present. If you lose your batteries, we are unable to replace these until your next year s supply is due. 5
6 Maintenance Keeping the Thin Tube clean is important for keeping the instrument in good working order. You will be given a tool to do this. Daily cleaning Use a damp cloth or wet wipe to gently clean round the dome Checking for blockages 1. Unscrew the Thin Tube from the instrument 2. Push the cleaning tool right through the Thin Tube from the instrument end, and out through the dome 3. Screw the thin tube back on the instrument Do not remove the dome from the thin tube as it may become loose. If you suspect a dome has become stuck in your ear, do not attempt to remove it yourself but please attend the ENT department (Mon-Fri 8am-5pm) or A&E department (weekends and bank holidays) to have it removed. Do not immerse the thin tube or hearing aid in water. 6
7
8 Changing your tubing Due to wear we usually suggest the tubes and domes to be changed every three to six months. Unscrew the thin tube. Replace with new tube taking note of the right (RED) and left (BLUE) markers on aid and thin tube. Replacement thin tubes can be obtained from: The Repair Clinics (see page 11) By By post: NDA Send in your battery card mobile clinic (timetable available on request) 8
9 Unscrew here Thin tube Program button Dome Left/Right coloured marker On/off switch and battery compartment 9
10 Troubleshooting Problem No Sound Whistling or buzzing when in ear Unknown Possible Cause Aid not turned on. Battery not inserted correctly. Dead battery. Blocked tube/dome. Thin tube not inserted correctly. Excess wax in your ears. Damaged tube. Aid is on the loop programme. Action Turn aid on. Insert battery correctly. Replace battery. Check and follow advice for cleaning. Take thin tube out and insert carefully. Have your practice nurse check and remove any wax if necessary. Replace tube. Turn aid off. Turn on to reset. Attend repair clinic For any adjustments to the sound of your digital hearing aid or fine tuning, you must make an appointment with the Audiology Department. Please phone:
11 Hearing aid repair clinics Attend the clinic for: 3-6 monthly change of thin tube and dome 6 monthly change of filters (certain models of Phonak aids only) Damaged tube Uncomfortable tube Broken or damaged aid* Lost aid* Please bring your battery card or book The Norfolk and Norwich Repair Clinic No appointment necessary Monday Tuesday Wednesday Thursday Friday 8:45-12:15 8:45-12:15 8:45-12:15 8:45-12:15 8:45-12:15 13:45-16:45 No Clinic 13:45-16:45 No Clinic 13:45 16:45 Cromer Repair Clinic Attendance by appointment only. To book at Cromer Hospital please phone: *There is a 55 + VAT charge for hearing aids lost or damaged through lack of care. 11
12 NDA The Norfolk Deaf Association Our mission is to improve the lives of young people and adults with all degrees of hearing loss through information, support, awareness and communication. Hearing Support Service For general advice and maintenance of your hearing aid through static clinics and the Listen here mobile clinic. Static clinics At locations throughout Norfolk Mobile clinics The Listen Here bus at towns and villages throughout Norfolk Home Visits For those who are housebound and unable to visit the static or mobile clinics Assistive Listening Devices Timetables and locations for both static and mobile clinics are available on the NDA website or from the Audiology Department Hearing aid user support group A group where new users can ask questions about their hearing aids and seek practical support. 12
13 Befriending Service Provides companionship, reduces isolation and improves confidence. Tinnitus Support Group Regular support meetings Deaf Awareness Training Training is provided for public and private sectors, Charities and community organisations Hush Club A self help group that offers support and facilitates social networks and activities. For further information please contact the Norfolk Deaf Association (contact details on page 16) 13
14 Other services Hearing Therapy The Audiology department has a Hearing Therapy service. This offers help to patients with tinnitus and hyperacusis. The service can also help you and your family come to terms with your Hearing Loss. Lip-reading advice and communication tactics for home and the workplace are also offered. Please ask your Audiologist or GP about a referral. Assistive Listening Devices (ALD s): Advice can be given on ALD s. Please ask for an appointment if you require further help with: Hearing on the telephone Hearing the doorbell Hearing the alarm clock Listening to TV or radio Hearing in banks, theatres or churches Listening to music Wireless streamers Or contact the Norfolk Deaf Association 14
15 Available to purchase from Audiology: C2Hear Hearing Aid DVD - an educational DVD for new hearing aid users covering topics such as how to insert your earmould, using the phone, troubleshooting and retubing 15
16 Useful contacts Our Vision To provide every patient with the care we want for those we love the most Audiology Department Norfolk & Norwich University Hospital Colney Lane Norwich NR4 7UY Telephone: Fax: The Norfolk Deaf Association 120 Thorpe Road, Norwich, NR1 1RT Supporting the deaf and hard of hearing in Norfolk Tel/Textphone: Fax:
17 Useful contacts Providing support to deaf people and their families. Deaf Connexions Unit 14, Capitol House, 4 Heigham Street, Norwich, NR2 4TE Telephone: Textphone: mail@deafconnexions.org.uk Fire Kills Advice on fire prevention, including downloadable leaflets
18 Useful contacts A charity providing support, care and training for those with hearing loss or tinnitus. Action On Hearing Loss Customer Services Dept. Action on Hearing Loss Bakewell Road Peterborough PE2 6XU Tel: Textphone: solutions@hearingloss.org.uk The British Deaf Association is the largest organisation of Deaf people in the UK that is run by Deaf people. British Deaf Association 18 Leather Lane, London EC1N 7SU Telephone: bda@bda.org.uk 18
19 Useful contacts Job Centre Plus This is a government department that can offer help with equipment and advice in the workplace. Operational Support Unit, Harrow Jobcentre Plus, Mail Handling Site A Wolverhampton WV98 1JE Telephone: Textphone: atwosu.london@jobcentreplus. gsi.gov.uk Adult education services: Lip reading Sign language Telephone: Minicom: information@norfolk.gov.uk 19
20 Communication Things to think about for good communication The Environment Lighting Furnishings Position Make sure the speakers face is well lit. Soft furnishings reduce echo, for example using table cloths and mats can reduce cutlery/crockery noise. Always try to minimise background noise. eg. sit with your back to a wall in a noisy restaurant. Help Yourself Be Open Tell people about your hearing loss. Ask them to get your attention before speaking. Be Observant Watch for facial expressions, lip patterns and hand gestures. These all give clues to the conversation. Be Positive Don t be afraid to ask the speaker to repeat themselves. Encourage people to start a conversation with the topic. 20
21 Communication The Telephone Position Type Instead of holding the phone against your ear canal, hold the earpiece of the phone to the top of your ear, against the microphone located towards the front of your hearing aid. If your hearing aid has the loop setting and your telephone includes an induction loop. Hold the earpiece of the phone against the back of your hearing aid, try different places until the sound becomes clearer. Induction Loop Ask your Audiologist about the LOOP/TELECOIL. This may be useful in many situations including: On the telephone At the bank At the theatre At church Supermarkets Lecture theatres Anywhere this sign is displayed 21
22 Communication Hints and tips for friends and family Minimise background noise Attract attention before speaking Speak clearly and not too fast Face the person, be sure your mouth is visible Get to the point. Make sure the topic of conversation is clear Include people. Tell them what you are talking or laughing about Speak one at a time Be patient Repeat, rephrase, or write it down Remember, communication is a two way responsibility 22
23 Notes 23
24 Norfolk and Norwich University Hospital Colney Lane, Norwich, NR4 7UY Tel: Fax: Date of Production: December 2017 Date of review: December 2018
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